Ke manaʻo nei ʻoe i kekahi manawa i ka ʻūlū ʻana i kou mau wāwae, ka mae ʻana o kou mau lima, a i ʻole ka wela o kou kino? I kekahi manawa, ʻaʻole mākou e noʻonoʻo i kēia mau mea he mau mea maʻamau wale nō. Eia nō naʻe, hiki i kēia mau hōʻailona liʻiliʻi ke hoʻomaka i kahi pilikia i loko o ka ʻōnaehana nerve o ko mākou kino. Mai ka hanu ʻana a hiki i ka hele ʻana a hiki i ka manaʻo ʻana, ua hoʻomalu ʻia nā mea āpau i loko o ko mākou kino e kēia ʻōnaehana nerve. No laila, inā ua hōʻino ʻia nā aʻalolo, hiki iā ia ke loaʻa ka hopena nui i ko mākou ola. I kēia lā, e kamaʻilio mākou e pili ana i ka ʻeha o ke aʻalolo a me ka hōʻino ʻana o ke aʻalolo ma ke ʻano maʻalahi.
E nānā mua kākou, he aha kēia mau aʻalolo?
I ka ʻōlelo maʻalahi, ʻo ka ʻōnaehana nerve ka ʻōnaehana 'uea' e lawe ana i nā leka ma loko o ko kākou kino. Ua māhele ʻia i ʻelua ʻāpana nui. ʻO kekahi ka ʻōnaehana nerve waena . ʻO ia hoʻi ko kākou lolo a me ke kaula iwi kuamoʻo. ʻO kekahi ka ʻōnaehana nerve peripheral . ʻO ia hoʻi ka pūnaewele o nā aʻalolo e hoʻolōʻihi ana mai ka lolo a me ke kaula iwi kuamoʻo a i ke koena o ke kino.
ʻEkolu ʻano nui o kēia mau aʻalolo. ʻO ka ʻike ʻana i kēia e maʻalahi ai iā ʻoe ke hoʻomaopopo i ka maʻi.
| ʻAno hopohopo | He maʻalahi ka hana. |
|---|---|
| Nā aʻalolo autonomic | Hoʻomalu mākou i nā mea hiki ʻole iā mākou ke kāohi, nā mea e hana koke ʻia. Eia kekahi laʻana, nā mea e like me ka helu o ka puʻuwai, ke koko, ka hou ʻana, a me ka ʻai ʻana. |
| Nā aʻalolo motor | Hoʻomalu lākou i kā mākou neʻe ʻana. Lawe kēia mau aʻalolo i nā leka mai ka lolo a me ke kaula kuamoʻo i nā ʻiʻo. ʻAe lākou iā mākou e hāpai i ko mākou mau lima a hele. |
| Nā aʻalolo sensory | Hoʻihoʻi ʻia nā manaʻo sensory (ʻeha, wela, hoʻopā) mai ko mākou ʻili a me nā ʻiʻo i ka lolo a me ke kaula iwi kuamoʻo. ʻO kēia mau aʻalolo ke kumu e ʻeha ai mākou a me ka maneʻo. |
He ʻelua mau mea like ʻole ka Neuralgia a me ka Neuropathy?
ʻAe, aia kekahi ʻokoʻa iki ma waena o kēia mau huaʻōlelo ʻelua.ʻO ka Neuropathy ka hōʻino ʻia ʻana o ke aʻalolo ma muli o kahi maʻi a i ʻole kahi ulia. ʻO ka Neuralgia ka ʻeha i hana ʻia e kēlā hōʻino. I ka ʻōlelo maʻalahi, ʻo Neuropathy ke kumu, a ʻo Neuralgia kekahi o kona mau hōʻailona.
He aha nā hōʻailona o kahi maʻi neurological?
Hiki ke ʻokoʻa nā hōʻailona o kahi ʻeha aʻalolo mai kēlā kanaka a kēia kanaka. Aia ia i ke ʻano o ke aʻalolo i hōʻino ʻia a me kona wahi i loko o ke kino. Hiki i kekahi poʻe ke ʻike i nā hōʻailona o ʻelua a ʻekolu paha o kēia mau ʻano aʻalolo i ka manawa hoʻokahi.
| ʻAno o ke aʻalolo i hōʻino ʻia | Nā hōʻailona hiki ke loaʻa |
|---|---|
| ʻŌnaehana Nervous Autonomic |
|
| Nā aʻalolo motor |
|
| Nā aʻalolo sensory |
|
No ke aha i hōʻino ʻia ai kēia mau aʻalolo? He aha nā kumu?
Aia ma mua o 100 mau kumu o ka hōʻino ʻana o ke aʻalolo. ʻO kēia kekahi o nā kumu maʻamau a maʻamau.
- Maʻi diabetes: ʻO ka maʻi diabetes ke kumu nui o ka hōʻino ʻana o ke aʻalolo. Ma kahi o 70% o ka poʻe me ka maʻi diabetes he mau ʻano hōʻino aʻalolo paha. Hoʻonui kēia ʻano i ka wā ʻaʻole i kāohi ʻia nā pae kō koko. Ua kapa ʻia hoʻi kēia he diabetic neuropathy . Inā loaʻa iā ʻoe ka maʻi diabetes a loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i kāu kauka.
- Nā maʻi Autoimmune: ʻO kēia ka manawa e hoʻouka ai ka ʻōnaehana pale o ko mākou kino ponoʻī i ko mākou mau aʻalolo ponoʻī. ʻO nā hiʻohiʻona e like me nā maʻi e like me Multiple Sclerosis, Guillain-Barré syndrome, a me Lupus.
- Kanesa: Hiki ke hōʻino ʻia nā aʻalolo ke kaomi nā puʻupuʻu i nā aʻalolo a i ʻole ke hoʻonele kekahi ʻano kanesa i nā aʻalolo i nā meaʻai e pono ai lākou e hana. Hiki ke loaʻa ka ʻeha aʻalolo ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau chemotherapy a me ka radiation no ka maʻi kanesa.
- Hoʻopili/trauma: Hiki ke hōʻino ʻia ke aʻalolo ma muli o nā kūlana e like me ke aʻalolo pinched i ka ʻāʻī, kahi contusion mai kahi ulia kaʻa, a i ʻole ka carpal tunnel syndrome.
- Nā hemahema i ka meaʻai: ʻO nā hemahema i kekahi mau wikamina, e like me ka wikamina B6 a me B12, hiki ke hōʻino i nā aʻalolo. ʻO ka inu nui ʻana i ka waiʻona kekahi kumu o kēia.
- Nā hopena ʻaoʻao o nā lāʻau lapaʻau a me nā mea ʻawahia: Hiki i kekahi mau lāʻau HIV a me nā lāʻau maʻi kanesa ke hoʻoulu i ka ʻeha o ke aʻalolo ma ke ʻano he hopena ʻaoʻao. ʻO ka hoʻohana ʻana i ka waiʻona no ka manawa lōʻihi kekahi kumu nui. Eia kekahi, hiki i nā mea ʻawahia e like me ke kēpau, ka arsenic, a me ka mercury ke hōʻino i nā aʻalolo.
- Nā maʻi lele: ʻO nā maʻi e like me ka maʻi Lyme, nā maʻi herpes, HIV, a me ka hepatitis C hiki ke hoʻopilikia i nā aʻalolo.
- Inā loaʻa iā ʻoe ka maʻi diabetes, e mālama pono i kou pae kō koko.
- Inā he nele i nā meaʻai, e hoʻolako i nā wikamina e pono ai.
- Inā ua hoʻokumu ʻia e ka lāʻau lapaʻau, e kamaʻilio me kāu kauka a hoʻololi i ka lāʻau lapaʻau.
- Inā ma muli o ke aʻalolo i ʻoki ʻia, pono paha ke ʻoki kino a i ʻole ke ʻoki kino.
- Nā lāʻau ʻeha maʻamau.
- Kekahi mau lāʻau lapaʻau no ke kaumaha (e like me Amitriptyline, Duloxetine (Cymbalta)).
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka migraines (e like me Gabapentin (Neurontin), Pregabalin (Lyrica)) he mea kūpono loa ia no ka ʻeha o ke aʻalolo.
- Nā kirimina hōʻoluʻolu i ka ʻili (e.g. Capsaicin, Lidocaine).
- Poloka aʻalolo: Pili kēia i ka hoʻokomo ʻana i kahi lāʻau anesthetic kokoke i ke aʻalolo i hōʻino ʻia e hoʻōki i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo.
- Hoʻopau ʻana i ka ʻike: No kahi ʻili hypersensitive, e like me kou poho lima, hoʻopā mua ʻoe iā ia me kahi mea palupalu loa e like me kahi ʻāpana pulupulu i nā manawa he nui i ka lā. Ma hope o kekahi mau lā, hoʻohana ʻoe i kahi ʻāpana lole ʻoi aku ka ʻino, a laila kekahi mea e like me Velcro. Ke maʻa mālie ʻoe i ka manaʻo, e emi ana nā hōʻailona ʻeha i hoʻouna ʻia mai nā aʻalolo i ka lolo.
- Inā ʻoe e ʻike nei i ka mae ʻana, ke ʻūlū ʻana, a i ʻole ke ʻano wela i loko o kou kino , mai hoʻowahāwahā iā ia me he mea maʻalahi lā.
- ʻO ka maʻi diabetes ke kumu nui loa no ka hōʻino ʻana o ke aʻalolo. Inā loaʻa iā ʻoe ka maʻi diabetes, e kaohi i kou pae kō koko.
- E like me nā maʻi āpau, he mea nui e ʻimi i ke kōkua lapaʻau i ka wā hikiwawe loa . Hiki i kēia ke kōkua i ka pale ʻana i ka pōʻino mau loa.
- Aia kekahi mau koho lapaʻau. E kamaʻilio me kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.
- ʻO ka mālama ʻana i kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino, hoʻemi ʻana i ka waiʻona) hiki ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i nā maʻi neurological.
Inā manaʻo koke ʻoe ua ʻai ʻoe i kahi mea ʻawahia, e kāhea koke aku i ke Kikowaena ʻIke Lāʻau Make ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻo.
Pehea e mālama ʻia ai kēia maʻi?
I ka hapanui o nā hihia, he paʻakikī ke ho'ōla piha i ka hōʻino ʻana o ke aʻalolo. Eia nō naʻe, aia nā ʻano lāʻau like ʻole e hiki ke kōkua i ka kaohi ʻana i nā hōʻailona a hoʻomaʻalahi i ke ola. ʻO ka mea nui loa, ʻo ia ka ʻike mua ʻana i nā hōʻailona a ʻike i ke kauka. Hiki i kēia ke kōkua i ka pale ʻana i ka hōʻino mau loa.
ʻO ka hana mua ʻana, ʻo ia ka mālama ʻana i ke kumu nui o ka ʻeha o ke aʻalolo.
Nā ʻano lāʻau lapaʻau
Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau like ʻole e hōʻemi i kou ʻeha.
Hoʻōla kino
Kōkua ka hoʻoikaika kino i ka hoʻōki ʻana i ka nāwaliwali o nā ʻiʻo, mālama i ka hana hui, a hoʻemi i ka ʻeha.
Nā lāʻau lapaʻau ʻē aʻe
I kekahi mau hihia, hiki i ke kauka ke ʻōlelo i nā lāʻau lapaʻau ʻē aʻe.
Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe e like me ka acupuncture, meditation, a me TENS (transcutaneous electrical nerve stimulation).
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